Secondary reconstruction of the back after oncological excision of a massive squamos carcinoma

Abstract

Introduction: Plastic surgical techniques can be used to cover defects results from tumor resections, practically at any level of the human body’s surface. Purpose: elucidation of a case of plasty with axial vascularized flap of a huge back’s defect. Material and methods: the study includes a clinical case of a woman of 56 years, which having a burn at the age of 3 years, now develops a skin squamous keratinized carcinoma of the back. After being treated at the Institute of Oncology and defect’s primary closure has failed, she addressed to our department with a huge soft tissues defect of the back. We decided to cover the defect using a LD flap, and we partially extended flap’s fascio-cutaneous component on abdomen’s antero-intern surface. Secondary surgical debridement was performed in one step with flap’s harvesting with dimensions of 30 x 25 cm, donor site being closed in the same stage. After a period of 21 days was determined recovery of the patient. Conclusions: Postoperative defects of oncological patients are a challenge for plastic surgeons and using flaps on a safe vascular pedicle, to ensure an adequate blood supply, represents a solution.